G P R E V E N T I O N ...

FIRE & BURN
PREVENTION NEWS
VO LUM E 9, ISSU E 2
IN THIS ISSUE
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Letter from the Chair
Power of Partnerships
New Subcommittees
Initial First Aid Treatment for
minor Burns
Emergency Preparedness –
Are you Ready?
Smoking and Home Oxygen
Sean’s Story
Poster Contest Winners
Upcoming Poster Contest
Burn Prevention Award
AMERICAN BURN
ASSOCIATION
46th Annual Meeting
March 25 – 28, 2014
CONTRIBUTORS
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Rebecca Coffey
B. Daniel Dillard
Ernest Grant
David Greenhalgh
Karla Klas
Carlee Lehna
Annette Matherly
Eileen McDonald
Tina Palmieri
Curtis Ryun
Owain Thompson
Kelsey Viega
David Wales
FA L L 2013
A LETTER FROM THE CHAIR
TGIF (Time to Get Injury Focused):
Raising the Bar on Burn Prevention
G
reetings! It is an
tate implementation of curhonor to have been
rent best practices. Two new
recently bestowed the
subcommittees have been
privilege of chairing the
established to assist with
ABA’s Burn Prevention
these goals: 1) Burn PrevenCommittee (BPC). This
tion Research and Data; and
talented and passionate
2) Burn Prevention Educagroup of multidisciplinary
tion Materials, Media, and
experts represents an imAdvocacy. Tasks of these
pressive array of progroups will include promotfessional
backgrounds.
ing and facilitating collabWhile diverse in profesorative burn/fire prevention
sional pedigrees, they are
research at the national/inunified in their committernational level; acquiring
Karla S. (Ahrns) Klas
ment to making a differcomprehensive quality data
ence in the lives of people
to direct research priorities;
through the prevention of burn injuries.
compiling an easily-accessible repository of
The BPC embodies the mantra that it “takes
burn prevention and fire safety resources;
a village” to successfully reduce injury inupdating safety education materials; develcidence. This newsletter edition highlights
oping seasonal burn prevention PSA’s; and
several great examples of the power of using
expanding the reach of the BPC.
multidisciplinary collaborations to reduce
You spoke, we listened! The national surinjuries. Read on to learn how you can join
vey also revealed that over 90% of respondthe call-to-action to find creative and innoing burn professionals want best practice
vative ways to prevent burn injuries from
fire safety burn prevention fact sheets for
continuing to occur throughout the world!
use in patient education. A priority of the
As we look to the future, the BPC is apBPC is to develop these materials, and to
plying a strategic approach to “raising the
train burn professionals on specific methbar on burn prevention.” Results from a reods to incorporate fire safety and burn precent multi-center survey indicate that burn
vention in your own home, in burn patient
professionals across the United States do not
and family education, and in community
have updated knowledge on best practices
outreach activities. If you are interested in
in fire safety and burn prevention. Providing
assisting, please don’t hesitate to contact me
accurate, consistent prevention education
at: [email protected]
that targets patients, families, and high-risk
populations in the community is essential
Yours in prevention,
in reducing the national incidence of burn
injury. A new priority of the BPC is to “raise
the bar” on injury prevention by addressing
the identified knowledge gaps and using a
Karla S. (Ahrns) Klas, BSN, RN, CCRP
research-based strategic approach to faciliChair, ABA Burn Prevention Committee
POWER OF PARTNERSHIPS – Another great example of hospitals, injury centers,
FROM ADMIN TO ADVOCATE:
How Support from Leadership Can Make a Difference
Tina L. Palmieri, MD, FACS, FCCM
B
urn injuries are devastating. They impact the person who
was burned as well as family, friends, and society as a whole.
Once the injury has occurred, some type of damage is inevitable,
be it physical, psychological, or social. We as burn providers have
insight into the impact of burn injury, and we have built teams
dedicated to improving the lives of burn survivors. But we cannot
“fix” everything. Wouldn’t it be better for all concerned if the injury
never happened? Isn’t burn prevention everybody’s business?
Burn prevention, similar to burn care, is best approached as a
team. The many facets of burn prevention need people with different
skills, insights, and passion for prevention to be most effective.
The leader of the burn prevention team brings together people
with diverse backgrounds, provides an environment which fosters
collaboration, encourages input from all team members, and helps
the team to establish and achieve goals. There are many challenges
to this process. Clinical demands are high, funding is limited, and
everyone has other responsibilities. Yet burn prevention needs to be
a priority.
What is the best way to foster burn prevention? First recognize
that burn prevention is important and deserves attention. Second,
learn about ongoing prevention initiatives. Prevention opportunities
exist locally, state-wide, nationally, and internationally. Learning
about these resources will not only be informative, but can also
improve your ability to care for burn survivors and provide an
opportunity to develop new collaborations and alliances. And you
might just have fun. Third, talk to people interested in prevention,
encourage their efforts, and provide them with support. This does
not necessarily involve exorbitant expenditures of money (although
money always helps). It may be as simple as attending a conference,
informing legislators about burn injury impact, helping gather data
on a preventable injury, supporting an outreach program, giving
people working on prevention time to carry out their prevention
efforts, advocating for burn prevention, or talking to a patient about
burn prevention.
Burn prevention is everybody’s responsibility. By working together,
we can make a difference.
Across the deep blue…
a unique approach to
researching house fires
National Scald Prevention
Campaign
Owain Thompson and David Wales
W
ithin the United Kingdom, no other type of fire has the same
human impact as an accidental dwelling fire (ADF). Although
only constituting approximately 10% of all reported fires, ADFs
are the cause of almost 70% of all reported fire-related injuries
and deaths. However, despite this, very little is known about what
people do when they discover a fire in their home, what motivates
them to take specific actions and how those actions relate to the
final outcome of the incident. While fire prevention work has been
very successful, Kent Fire and Rescue Service (KFRS) recognized
that developing a greater understanding of people’s actions during
and after such fires, will be of enormous value in further reducing
the number of deaths, injuries and damage to property that occur as
a result of this type of fire.
Consequently KFRS asked its Fire Investigation and Research
Team (FIRT) to develop what is now a large scale project to build
a generalized yet comprehensive understanding of behaviors
motivations and associated timescales of those who have experienced
an ADF.
At the heart of the research is a survey questionnaire which,
following a trial in Kent, will now be rolled out across fire and rescue
services within the South East of England and then made available
throughout the UK.
B. Daniel Dillard
S
calds are the leading cause of burn injury in young children, aged
0-4 years old. Of all scald burn injuries, from birth to death, 40%
occur to young children aged 0 – 4 years of age. Over 40 per cent of
all types of burn injuries treated in hospital emergency departments
are scalds. The primary causes of scald injuries are stove top/heat,
hot beverage spills, hot tap water, steam and excessively hot food.
The majority of scalds occur in the home. A higher incident of scald
injuries occur in lower-income households, as well as single parent
households. Hospitalized fire and burn injuries total $1 billion each
year, with scalds being the leading cause of burn injuries. Source:
American Burn Association: National Burn Repository - 2010 report
(5 year review 2005 – 2009).
The grim statistics above were the call-to-action for the ABA Burn
Prevention Committee and its national partners to collaborate on a
sustained effort to reduce the prevalence of scald injury in North
America, especially to young children. The result has been the
development of a National Scald Prevention Campaign. Thanks to
a series of three FEMA Fire Prevention & Safety Grants secured by
the International Association of Fire Fighters, project collaborators
(American Burn Association, Federation of Burn Foundations,
International Association of Firefighters, International Association
of Fire Chiefs and SafeKids Worldwide) have completed two phases
Continued on pages 6 & 7
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Continued on page 5
researchers, fire departments and other community groups joining together to provide effective prevention programs.
Keys to Success
for Smoke Alarm Promotion Programs
LESSONS FROM THE FIELD:
Eileen M. McDonald, MS
ABA members Andrea Gielen and Eileen McDonald, in collaboration
with colleagues from the Johns Hopkins Center for Injury Research
and Policy and a variety of community partners in Baltimore, are
in the final phase of a multi-year study to enhance and evaluate a
long-standing smoke alarm distribution program in their city. The
Home Safety Project (2009-2013) is supported through funds from
the Centers for Disease Control and Prevention and the National
Institute of Child Health and Human Development.
The multi-phased program included:
■■ formative work to establish baseline rates of working smoke
alarms in the community and to solicit input from community
members and fire personnel about their perceptions of and
experiences with the existing smoke alarm home visiting
program;
■■ implementation and monitoring of the enhanced home visiting
program between April 2010 to April 2011 with over 3000
homes;
■■ evaluation of the program through a follow up household
survey 6-9 months after the home visits; and
■■ dissemination of program results.
Dr. Gielen described the program and some of its results at the
45th annual meeting. Manuscripts about each phase of the program
have been published or are underway. Currently, a dissemination
brochure is in its final production stage and will be posted to their
website (www.jhsph.edu/InjuryCenter) free of charge. The brochure
will be used to promote the program and its findings to a broader
audience, including fire service leadership, health professionals,
and public health and injury control colleagues. The major
recommendations from the Home Safety Project include:
1. Expanding the number of fire departments that provide home
visiting programs;
2. Collaborating with community health workers to increase the
number of residents who participate in home visiting programs;
3. Enhancing implementation of the home visiting programs to
maximize impact; and
4. Expanding partnerships with new community organization and
agencies that can help promote fire and life safety.
During the 13 month implementation phase, 21 fire companies
participated in a total of 171 home visiting events. Of the 3216
homes where someone was home, successful completion of 2197
homes visits where water temperature was tested, 3816 new homes
were installed with 10-year, lithium battery tamper resistant alarms
and 344 new CO alarms were provided and 712 coupons for
reduced cost alarms were distributed.
NEW ABA BURN PREVENTION SUBCOMMITTEES
Materials, Media & Advocacy
Research and Data
T
A
B. Daniel Dillard
he ABA Burn Prevention Committee has responded proactively
in follow-up to the National Partnership Conference held
by the ABA this past March in Washington, D.C., by creating a
special subcommittee on Burn Prevention Education Materials,
Media and Advocacy chaired by Burn Prevention Committee
immediate past chair, Dan Dillard. Dan explained that the purpose
of this subcommittee is to advance the strategic initiatives of the
burn prevention committee as presented to the ABA Board of
Trustees. “We will be responsible for establishing the ABA/BPC
as the leading authority expert on burn prevention information;
compiling easily-accessible repository of burn prevention and
fire safety resources; developing/updating educational materials
for patient teaching (per IP survey results); developing seasonal
burn prevention PSA’s and rapid media response statement; and
evaluating if ABA/BPC should reinstitute coordination of the Burn
Injury Awareness Week“, stated Dillard.
The Burn Prevention Committee will work closely with other
ABA standing committees as it develops work plans for these
initiatives and formulates specific proposals for action by the
ABA BOT.
Carlee Lehna, PhD, APRN-BC
s a need identified by the ABA Burn Prevention Committee,
a new subcommittee has formed and will be responsible for
promoting & facilitating collaborative burn/fire prevention research
at the national/international level. In addition, members of this
subcommittee will identify research priorities; collaborate with
Burn Epidemiology SIG, NBR & Research Committees to promote
prevention research and quality data; and mentor & support
inexperienced researchers.
At a result of their first teleconference meeting, members reviewed
and refined the research sub-committees’ goals. These goals are:
1. Identify burn prevention (BP) research priorities;
2. Promote and facilitate BP research at the national/international
level;
3. Collaborate with other American Burn Association committees
(e.g., Burn Epidemiology Special Interest Group, National
Burn Repository and Research Committees) to advance mutual
research endeavors and expand quality data availability;
4. Investigate the possibilities of multi-site projects;
5. Mentor and support researchers at all career levels.
Continued on page 7
A M ER I C AN BUR N A SSO CIAT I O N • FIR E & BUR N PR E V EN T I O N N E WS |
3
Initial First Aid Treatment for minor Burns
Ernest Grant, RN, MSW
T
hink of the skin as a coat of armor for the human body. When
a burn injury occurs, it causes a break in the skin and may
subsequently cause an infection if it is not treated appropriately
or right away. Frequently the question is asked, “How do I treat a
minor burn?”
The American Burn Association’s Burn Prevention Committee
recommends the following guidelines for the treatment of minor
burns. Please note that even a small burn, may have the potential
to become infected. It is always advisable to seek medical attention
as soon as possible. Remember when in doubt or if
you think the individual’s life is in danger, call 911.
Remember if you call 911 using a cell phone you
may or may not get the local 911 for the area
you may be in. Remain calm and provide the
operator with the necessary information to
get the EMS personnel to you.
Burns are primarily divided into three
categories, first-degree or superficial burns,
second-degree, or partial thickness burns and
Third-Degree or full thickness burns. How these
types of burns are treated initially will determine whether
there is a successful outcome.
First-Degree burns – are burns which involve the outer most
layer of skin and are usually associated with a sun burn. Such an
injury may occur from too much exposure to the sun (gardening,
sunbathing, etc.). The skin is usually still intact, but may appear to
be red, very warm or hot to touch and painful. There may also be
small blisters, and swelling in and around the area of injury. Initial
first-aid treatment for a first degree burn includes the following:
DO’s
■■ Stop the burning process: cool the burn with running cool
(not cold) water for at least 5 minutes. But do not use ice,
as this may cause further skin damage. Do not over cool! If the
victim starts to shiver, stop the cooling process.
■■ Remove all jewelry, watches, rings and clothing around the
burned area as soon as possible.
■■ Administer an over-the-counter pain reliever such as ibuprofen
or acetaminophen for pain control. Follow the directions on
the label. Consult a physician or health care provider if pain is
not relieved.
■■ Cover the burn with a sterile gauge bandage or clean cloth.
Wrap the burned area loosely to avoid putting too much
pressure on the burn tissue.
■■ Minor burns will usually heal without further treatment.
■■ For small area burns, apply soothing lotions that contains aloe
vera to the burned area to help relieve the pain and discomfort.
■■ Seek medical attention if there is a persistent fever not
relieved by medication or redness that may extend beyond the
border of the burn or pain is not controlled by ibuprofen or
acetaminophen.
■■ Drink plenty of fluids (electrolyte containing solutions such as
gator aid) if the person appears to be dehydrated.
DON’Ts
■■ Do not apply ice – this may cause further damage to the skin.
■■ Do not use any butter, ointments or other home remedies on
the burn. Such substances may trap the heat in the tissue and
makes the burn worse.
■■ Do not break any blisters…leave intact.
■■ Do not delay seeing medical attention if the burn is larger than
the size of the victim’s palm.
Second degree burn – occurs when the second
layer of skin (dermis) is burned. This burn usually
has the following characteristics: very red,
blister formation, extremely painful and a fair
amount of swelling. In general, if a second
degree burn is smaller than 2-3 inches (7
centimeters) it may be treated as a minor
burn. If the area burned is larger than this, or
involves functional parts of the body such as
feet, face, eye, ears, groin or located over major
joints, more in-depth medical attention is needed.
Take the person to the nearest emergency room, family
doctor or minor emergency clinic to have the burn evaluated. Failure
to do so may result in permanent disfigurement or loss of function.
Third degree burns – are NOT minor burns and should be
evaluated and treated by a healthcare provider. A third degree burn
is a very serious burn, no matter what the size or area of the body
that may be involved. A third degree burn involves all layers of the
skin and can cause permanent tissue damage. The skin may appear
to be charred, blackened, or white. The skin texture may be very
dry or leathery. All third degree burns should be evaluated by a
healthcare provider immediately.
Healing – it may take several days for a mild first degree or
second degree burn to heal. During that time, it is important that
the affected area is observed for infection such as redness extending
beyond the burned area, changes in the appearance of the wound or
slight fever not relieved by Tylenol. As your skin begins to heal, you
may also notice that it will itch, which can be very uncomfortable
at times. This is normal and will eventually decrease. Frequent
application of lotion can help keep the skin hydrated and minimize
the itching process. If the itching is too severe, an over-thecounter medication such as Benadryl® may be helpful in easing the
discomfort. Remember...always follow the directions on the label.
The wound should be kept clean with daily dressing changes. If you
have any concern or questions, consult your healthcare provider.
Once the burn has healed, limit the exposure of the burn skin to
direct sunlight. Always wear sun protection.
Following the above guidelines should promote healing to most
minor burns. It is important to note that the consumer should always
seek the advice of a healthcare provider if there is any question
regarding the healing process of a minor burn. The American Burn
Association and the Burn Prevention Committee is not responsible
or liable for any untoward complications suffered by any individual
following these suggested guidelines.
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Save Yourself!
B
Annette Matherly, RN, CCRN
urn Centers are critical to a community’s response to major
disasters and emergencies. This community resiliency centers
on the ability of its leaders to develop plans and provide guidance
to others in their regions, especially non-burn centers. But whether
it is a fire, flood or zombie apocalypse, we as ABA leaders have the
responsibility to not only educate and help prepare our communities,
but also to be ready ourselves.
Whether an emergency or disaster keeps you at home or requires
you to evacuate, you’ll be better prepared to deal with the situation,
and to help others, if you have adequate emergency supplies on
hand. Water, food, and articles needed to maintain your body
temperature and provide protection against the elements are the
most important items to include. Also, certain individuals require
prescription medications to sustain their lives.
Tips:
Consider creating two types of kits: one that has everything you
will need if you are required to stay in your home and a smaller,
lightweight version to take with you if you have to evacuate. Both
kits should include enough supplies to take care of your needs for
at least three days.
Workers and students should consider keeping a small kit at their
place of work or school. For those who spend a lot of time in the car,
keep a kit in the trunk.
Must-Haves:
■■ Water, one gallon of water per person per day for at least three
days, for drinking and sanitation
■■ Food, at least a three-day supply of non-perishable food
■■ Battery-powered or hand crank radio and a NOAA Weather
Radio with tone alert and extra batteries for both
■■ Flashlight and extra batteries
■■ First aid kit
■■ Whistle to signal for help
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Dust mask,
to help filter
contaminated
air and plastic
sheeting and duct tape to shelter-in-place
Moist towelettes, garbage bags and plastic ties for personal
sanitation
Wrench or pliers to turn off utilities
Can opener for food (if kit contains canned food)
Local maps
Additional Items:
■■ Prescription medications and glasses
■■ Infant formula and diapers
■■ Pet food and extra water for your pet
■■ Important family documents such as copies of insurance
policies, identification and bank account records in a
waterproof, portable container
■■ Cash or traveler’s checks and change
■■ Sleeping bag or warm blanket for each person.
■■ Complete change of clothing including a long sleeved shirt,
long pants and sturdy shoes. Consider additional clothing if
you live in a cold-weather climate.
■■ Household chlorine bleach and medicine dropper - When
diluted nine parts water to one part bleach, bleach can be used
as a disinfectant. Or in an emergency, you can use it to treat
water by using 16 drops of regular household liquid bleach per
gallon of water. Do not use scented, color safe or bleaches with
added cleaners.
■■ Fire Extinguisher
■■ Matches in a waterproof container
■■ Feminine supplies and personal hygiene items
■■ Mess kits, paper cups, plates and plastic utensils, paper towels
■■ Paper and pencil
As we all prepare for the unthinkable, our challenge is to work together pro-actively to achieve the impossible.
Scald Prevention Campaign Continued from page 2
of the 3-Phase Campaign Roll-out. The final phase, Phase 3, will be
completed by Fall 2014, culminating with a full National Roll-out.
During Phase 1, the partners developed turnkey tools in a toolkit
to help fire fighters, burn foundations, burn centers, community
groups and fire departments to educate their communities about
scald prevention. The national partners also compiled scald data from
various sources and burn registries and produced a comprehensive
Scald Fact Sheet. In Phase 2, the tool kit was utilized in five high risk
Target Areas. Based on the results of that pilot test, enhancements
were recommended to the Scald Prevention Toolkit, and a National
Roll-out strategy developed.
Presently, in Phase 3, Campaign developers will: create a scald
prevention educational video for high-risk audiences; establish a
dedicated web portal allowing all users to access all program materials;
launch a social media campaign to create an awareness among the
target constituency of the National Scald Prevention Campaign and
where to access Campaign Resources; develop a series of up to 4
Campaign streaming video public service announcements; develop
a series of up to 4 Campaign radio public service announcements;
and develop an evaluation protocol to assess the effectiveness of the
social media campaign to promote the use of the products of the
National Scald Prevention Campaign Toolkit.
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5
Home Medical Oxygen and Smoking: A Preventable Injury
Rebecca Coffey, RN, MSN, CNP
H
ome oxygen therapy (HOT) is the treatment of choice for
the hypoxemia related to COPD (Chronic Obstructive
Pulmonary Disorder). Currently there are 800,000 people using home oxygen therapy (HOT) in the United States with the
numbers continuing to grow. While the use of home oxygen
allows people to stay out of the hospital there are dangers associated with home oxygen in the home. As the
use in the home increases, so do burn injuries related to HOT therapy. Between 2003
and 2006 an estimated 1,190 thermal burns
occurred annual from HOT therapy; however, the
true incidence is unknown because many injuries go
unreported.
The greatest cause of HOT injuries, deaths and property damage
are from smoking materials (over 70%) followed by use of the stove
(10%) or candles (9%). The use of nasal prong oxygen allows a significant amount of oxygen to exit the prongs and bathe the lower
face with oxygen. The oxygen tubing acts as a torch and the flame
travel quickly down the tubing toward the oxygen source. Patients
continue to smoke in alarming numbers upwards of 50- 80% while
using home oxygen despite the risks.
Patients on average get 10 minutes of teaching and patient education handout when started on HOT therapy. Teaching topics include
fire safety, no smoking, no open flames, care with using electrical
equipment that may spark, avoiding static electricity, avoiding petroleum based products on the lips and nose or lower part of your
face, proper storage of the equipment and traveling with oxygen.
When the DME (Durable Medical Equipment) Company delivers the
equipment a home safety inspection is done by the DME Company
to look for hazards, and door signs are posted that home oxygen is
in use. Some companies will ask the patient to sign a contract stating
that they confirm they have been trained in the safe use, they have
received patient education, they have been trained in the storage and
that they agree not to smoke.
We have many opportunities to improve prevention for these injuries. To date evaluation of the teaching provided to patients has not
been done. How do we know that they understand what has been
taught and how often should follow up education occur? Is there is
an opportunity for a structured education program with a pre and
post-test? Do random home inspections by the DME Company
occur? If so, is this ethical? What would the consequences be?
Removal of oxygen from the home? Reporting of the unsafe use
of oxygen to the payer – Medicaid, Medicare or private insurance company? Again is this ethical? Who is liable for the unsafe
condition? There are lots of unanswered questions, however we
have many opportunities to develop burn prevention programs regarding home oxygen
safety.5
The second issue is that despite smoking being the number one cause of HOT related injuries,
up to 50-80% of home oxygen users continue to smoke.
Smoking cessation is encouraged but not mandated. Smoking is
highly addicted and less than 3% of attempts to quit are successful
for 12 months. Currently there is no guidance from national organizations about prescribing home oxygen and smoking. All too often,
oxygen-dependent smokers are unable to give up the habit which
likely contributed to their illness. If confined to their home, they frequently persuade sympathetic friends and relatives to make smoking
materials available, despite the danger involved. Sufficient follow-up
and ongoing assessment is needed. Providers are the key in assessing
smoking cessation, and the safe use of home oxygen. In a study by
Lacasse et al of 890 patients on home oxygen only 5% were asked
about their compliance with not smoking on home oxygen. Patients
who smoke must be offered nicotine replacement therapy but how
often is this done? Should providers monitor cotinine levels at office
visits? If cotinine levels are positive then what? Mandatory smoking
cessation programs, discontinuation of home oxygen therapy? Is it
ethical? Our opportunity is in educating providers on how to monitor safe home oxygen use and provide safety education to patients.
HOT injuries are preventable. National standards on education
and follow up for home oxygen users need to be developed. Smoking cessation programs are key. Other prevention measures may be
to develop less combustible materials for the nasal cannula and more
efficient delivery systems for home oxygen. Finally, structured ongoing education programs to prevent these injuries will allow patients
using home oxygen to remain in their homes. The prevention of
HOT injuries will decrease health care costs, and protect caregivers
as well as patients from unnecessary injuries.
Researching house fires Continued from page 2
By giving new focus and weight to the narrative of those who
have experienced a fire, this work has already challenged many
assumptions and allowed KFRS to radically re-assess its approach to
reducing the impact of fire (and other incidents). While initially it
was expected to primarily inform a new range and style of targeted
prevention messages, it has quickly become clear that the project has
application to many aspects of the service including risk profiling,
call handling and operational procedures and post fire services.
The survey results and related research provide an ability to really
focus on the victims’ needs, experience and expectations and place
them at the heart of what we do. This is also affirming our ability to
work with partner agencies including the burns care sector.
There appears to be some commonality between this project and
the ABA Prevention work, particularly in terms of a commitment
to achieving the best possible outcome for the victim and ensuring
effective and casualty centered multi-agency procedures.
Kent Fire and Rescue Service are partnered in this unique research
project by the Fire Safety Engineering Group at the University of
Greenwich. The university team is headed by Professor Ed Galea,
one of the world’s foremost experts on evacuation behavior. As a
6 | A M ER I C AN BUR N A SSO CIAT I O N • FIR E & BUR N PR E V EN T I O N N E WS
Sean’s Story:
My life torn apart by firesetting
YOUTH FIRESETTING PREVENTION AND INTERVENTION TOOLKIT
A
lthough frequently overlooked by society,
youth fire misuse represents a significant
problem for families, schools, fire departments,
and communities. Fire misuse behaviors (firesetting, arson, playing with lighters, experimenting
with bottle bombs, igniting aerosols, etc.) are
associated with devastating costs, injuries, and
lifechanging consequences. Many people are
not aware that these behaviors can also result
in criminal charges, when in fact children under 18 years old account for nearly 50% of all
arson arrests in the United States.
To help communities and agencies address this challenging
issue, a video toolkit is available free of charge. Funded by a
FEMA grant, the “Sean’s Story” toolkit was created with input
from a large group of multidisciplinary, nationally-recognized experts in youth firesetting prevention and intervention. This group
included burn clinicians, firefighters, mental health professionals, safety experts, juvenile justice, police, arson investigators,
and specialists in youth education. The “Sean’s Story” toolkit
and its associated website (www.traumaburn.org/Seans-Story):
haviors and associated social, financial, medical,
career, and legal consequences.
■■ Includes the following resources:
• The nationally acclaimed documentary DVD
“Sean’s Story: My Life Torn Apart by Firesetting.”
This video has been incorporated into the National
Fire Academy’s Youth Firesetting Prevention and
Intervention curriculum.
• Educator’s Guide to facilitate presentations and
educational activities.
• Supplemental materials, such as: pre-/post-tests,
youth collage, mental/behavioral health resources, parent
guide, signs of fire misuse, media kit, and a community collaboration guide.
Who Will Find This Video Toolkit Helpful?
Organizations and professionals committed to youth education
and safety, including: burn centers, schools, fire departments,
public educators, law enforcement, mental health, juvenile
justice, injury prevention programs, youth assistance, hospitals,
■■ Tells the true story of a convicted juvenile arsonist and the
medical clinics, community organizations, and social service
long-term consequences that can occur if fire misuse beagencies. The most effective,
havior is minimized, ignored,
comprehensive approach to
unrecognized, or untreated.
firesetting prevention and
To request a free copy of the toolkit or obtain
■■ Is a unique prevention and
intervention is to engage
supplemental materials, visit:
intervention tool for organizacommunity collaboration
www.traumaburn.org/Seans-Story
tions and professionals comand build multidisciplinary
mitted to youth education and
partnerships. For ideas, refer
For additional information, contact:
safety.
to the online “Call to Action:
Karla S. Klas, BSN, RN, CCRP at
■■ Facilitates appropriate and
Coordinated Community Efforts”
[email protected]
constructive discussion regardhandout.
ing high-risk fire misuse be-
Research and Data Continued from page 3
result of this project, there have already been 3
articles published and 5 presentations at various
conferences.
Although the initial focus is on accidental fires
in dwellings the underpinning research model is
expected to be transferable to developing improved
understanding of human behavior issues in a range
of other civil contingencies.
For further details on this project please visit:
www.kentfirt.info
The subcommittee agreed to examine existing burn prevention research to
identify gaps in the literature (e.g., scald prevention versus home fire safety)
and in format style (e.g., classic review of the literature versus evidence-based
guides versus an update of an existing Cochrane Review) in the identification
of their first project. Other Burn Prevention committee members were surveyed
as to their burn prevention research literature expertise (e.g., familiarity with
large data bases or older adult burn prevention literature). Anyone interested
in getting involved, please contact Carlee Lehna at [email protected] or
ABA Burn Prevention Committee Chair, Karla Klas at [email protected]
A M ER I C AN BUR N A SSO CIAT I O N • FIR E & BUR N PR E V EN T I O N N E WS |
7
2014 Burn Prevention
Award Nominations
D
o you know someone who has been the catapult for a local,
statewide or nationwide prevention effort? Do you know
someone who’s prevention model benefits other prevention
programs within your organization, your local region, statewide
or nationwide? The Burn Prevention Award is awarded at the
ABA Annual Meeting to an ABA member for contribution in burn
prevention with these in mind. Any individual is eligible for this
annual award if the work is new and significant and continues to
fulfill at least one of the above criteria. The award, under the auspices
of the ABA Burn Prevention Committee, includes an honorarium of
$1,500. Individuals wishing to nominate an ABA member for this
award must submit the completed nomination forms by October
30, 2013. Form MUST be completed for nominee to be considered.
1st Place
ANNUAL ABA BURN PREVENTION
Poster Contest–2014
Calling all members of the burn team!
Here’s your chance to increase awareness of burn hazards
or by creating your own prevention message. Three monetary
awards in the amounts of $500, $300, or $200 will be awarded
to the top three posters. All awards are paid to the Institutions represented. Winners will be announced during the
ABA Annual Meeting in Boston. Go to: http://www.ameriburn.
org/46thAnnualMeeting/PreventionPosterGuidelines.pdf. To
obtain a poster abstract form link, go to http://www.ameriburn.
org/2014PosterContestEntryForm.doc. For consideration,
abstract must be received no later than February 1, 2014.
Late entries will not be accepted.
2013 Prevention Poster Contest Winners
ABA 45th Annual Meeting • April 2013, Palm Springs, CA
POSTER CONTEST WINNERS (counterclockwise from top):
1st Place Winner: Children’s Hospital Colorado Burn Program
2nd Place Winner: Shriners Hospitals for Children, Northern California,
Sacramento, CA
3rd Place Winner: Firefighters Burn Institute Regional Burn Center at
UC Davis, Sacramento, CA
People’s Choice Award Winner: The Hospital for Sick Children,
Toronto, ON Canada
3rd Place
2nd Place
8 | A M ER I C AN BUR N A SSO CIAT I O N • FIR E & BUR N PR E V EN T I O N N E WS
People’s Choice
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